Assisted Living Unit Move-In/Move-Out Checklist
Resident Information
Resident Name
Unit Number
Date
Move-In ☐ / Move-Out ☐
Condition Checklist
Item/Area
Condition Upon Move-In
Condition Upon Move-Out
Notes
Flooring
Walls
Ceiling
Windows
Doors & Locks
Bathroom Fixtures
Kitchen Appliances
Furniture
Lighting
Additional Notes
Signatures
Resident Signature
Date
Staff Signature
Date